Individual
CHARLOTTE MAY SPIVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Mailing address
3001 SPRING FOREST RD, RALEIGH, NC 27616-2815
(919) 424-5080
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
363589
NC
Other
Enumeration date
08/10/2016
Last updated
08/10/2016
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